Opm Form 1652 - Request For Ses Noncareer Or Limited Appointment Authority
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1
2Request for SES Noncareer or Limited Appointment Authority
Part A - Agency Information
3. Date received at OPM
1. Agency name
2. Date of request
(mm,dd,yyyy)
(OPM use only)
E-mail
4. Agency point of contact
Telephone number
FAX number
6. Request(s) for:
5.
New noncareer appointment
U.S. Office of Personnel Management
Reassign a noncareer appointee
Office of Executive Resources Management
Limited term appointment
Requested duration:
Months______
Days______
1900 E Street NW, Room 6484
Limited emergency appointment (not to exceed 18 months)
Washington, DC 20415-0001
Extension of limited appointment
Requested duration:
Months______
Days______
Change in title (show current title below; show new title in 10a.)
Attention____________________________
FAX number is (202) 606-2126
Other (specify on supplemental sheet, e.g. SES allocation)
7. Name of candidate
8. EIS case number
9. Position number
10a. Position title
10b. Organization
10c. Office
11. Recruited from
Endorsement Statement
I endorse the above request made to the Office of Personnel Management. I certify that the position is a General position and certify
that the candidate meets the professional/technical, executive and managerial qualifications for this position.
14. Date signed
13. Department/Agency head signature (or designee)
12. Department/Agency head name
Part B - Agency White House Liaison
1. Agency White House Liaison name
2. Agency White House Liaison signature
3. Date
4. Telephone
Part C - OPM Use Only
1.
Your request for a new noncareer appointment
Approved
Modification
authority, reassignment or change is:
Approved with modification
Your request for a limited term or limited
Disapproved
emergency appointment authority for the duration
of_____________________ is:
Returned without action
Your request for __ temporary space allocation is:
2a.
2b.
%
Number of noncareer allocations, if approved
Percent of SES space allocation
3. OPM White House Liaison signature
4. Date
6. Title of OPM approving official
7. Date signed
5. Signature of OPM approving official
Chief of Staff, OPM
Previous edition not usable
OPM 1652
U. S. Office of Personnel Management
Revised February 2002
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